Lee, Kyu Chan

Lee, Kyu Chan is an sole proprietor health care provider with primary practice located at 4500 Stuart Ave # 9-34 , Columbia SC 29207-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Lee, Kyu Chan can be contacted via phone (803) 751-0456.

Contact Information

Primary practice address
4500 Stuart Ave # 9-34 Columbia SC 29207-5700
Phone: (803) 751-0456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X D0023629 Maryland

Profile Details

NPI number 1205813144
LBN Legal business name Lee, Kyu Chan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2005
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205813144 NPPES
Maryland MEDICAID 397781100

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